Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1
Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1
Da Vinci Value-Based Performance Reporting Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-vbpr/ and changes regularly. See the Directory of published versions
<MeasureReport xmlns="http://hl7.org/fhir">
<id value="vbp-measurereport104"/>
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<valueString value="VBP MeasureReport Example 104"/>
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<valueMarkdown
value="This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile."/>
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<profile
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<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="vbp-measurereport104"> </a><a name="hcvbp-measurereport104"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MeasureReport "vbp-measurereport104" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vbp-performance-measurereport.html">Value-Based Performance MeasureReport</a></p></div><p><b>Measure Report Category</b>: Value-Based Performance <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-measurereport-category.html">Measure Report Category</a>#vbp)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href="Measure-vbp-measure02.html">Example Value-Based Contract - ABC Payer and EveryHospital</a></p><p><b>subject</b>: <span>: Every Hospital</span></p><p><b>date</b>: 2023-05-31</p><p><b>reporter</b>: <a href="Organization-vbp-payer01.html">Organization/vbp-payer01</a> "ABC Payer"</p><p><b>period</b>: 2022-01-01 --> 2022-08-31</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-01</blockquote><p><b>code</b>: Eligible member <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-performance-metric.html">Performance Metric Codes</a>#eligible-member)</span></p><p><b>measureScore</b>: 2914</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-02</blockquote><p><b>code</b>: Hierarchical Condition Category <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#hcc)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-03</blockquote><p><b>code</b>: Preventive Care Visits <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-performance-metric.html">Performance Metric Codes</a>#quality-pmt-office-visit "Quality payment annual office visit")</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-04</blockquote><p><b>code</b>: Star Performance <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#star-performance)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-05</blockquote><p><b>code</b>: Advance Care Planning <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#advance-care-planning)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-06</blockquote><p><b>code</b>: Encounter Palliative Care <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#encounter-palliative-care)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-07</blockquote><p><b>code</b>: Supplemental Data <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#supplemental-data)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-08</blockquote><p><b>code</b>: Estimated YTD Grand Total <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#closed-gaps)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-09</blockquote><p><b>code</b>: Total gaps <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#total-gaps)</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-10</blockquote><p><b>code</b>: Closed gaps <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#closed-gaps)</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-11</blockquote><p><b>code</b>: Minimum Base Incentive Target Percentage <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#min-base-incentive-target)</span></p><p><b>measureScore</b>: 80 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-12</blockquote><p><b>code</b>: Base Incentive Per Member <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#base-incentive-pm)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-13</blockquote><p><b>code</b>: Early Performance Bonus Met <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#early-performance-bonus-met)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-14</blockquote><p><b>code</b>: Estimated Bonus Incentive Per Member <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#estimated-bonus-incentive-pm)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-15</blockquote><p><b>code</b>: Estimate Incentive <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-performance-metric.html">Performance Metric Codes</a>#earned-incentive "Earned incentive")</span></p><p><b>measureScore</b>: </p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="MeasureReport-quality-measurereport30.html">MeasureReport/quality-measurereport30</a></li><li><a href="MeasureReport-quality-measurereport31.html">MeasureReport/quality-measurereport31</a></li><li><a href="MeasureReport-quality-measurereport32.html">MeasureReport/quality-measurereport32</a></li><li><a href="MeasureReport-quality-measurereport33.html">MeasureReport/quality-measurereport33</a></li></ul></div>
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<status value="complete"/>
<type value="summary"/>
<measure
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<subject>
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url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject">
<valueReference>🔗
<reference value="Organization/vbp-provider02"/>
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<display value="Every Hospital"/>
</subject>
<date value="2023-05-31"/>
<reporter>🔗
<reference value="Organization/vbp-payer01"/>
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<period>
<start value="2022-01-01"/>
<end value="2022-08-31"/>
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<group id="group-01">
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<coding>
<system
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<text value="Eligible member"/>
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<measureScore>
<value value="2914"/>
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<group id="group-02">
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<system
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<code value="hcc"/>
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<text value="Hierarchical Condition Category"/>
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<measureScore>
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<group id="group-03">
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<coding>
<system
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<code value="quality-pmt-office-visit"/>
<display value="Quality payment annual office visit"/>
</coding>
<text value="Preventive Care Visits"/>
</code>
<measureScore>
<extension
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<valueMoney>
<value value="180"/>
<currency value="USD"/>
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<group id="group-04">
<code>
<coding>
<system
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<code value="star-performance"/>
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<text value="Star Performance"/>
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<measureScore>
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<valueMoney>
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<code value="advance-care-planning"/>
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<text value="Advance Care Planning"/>
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<measureScore>
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<valueMoney>
<value value="100"/>
<currency value="USD"/>
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<group id="group-06">
<code>
<coding>
<system
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<code value="encounter-palliative-care"/>
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<text value="Encounter Palliative Care"/>
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<measureScore>
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<valueMoney>
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<group id="group-08">
<code>
<coding>
<system
value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
<code value="closed-gaps"/>
</coding>
<text value="Estimated YTD Grand Total"/>
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<measureScore>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
<valueMoney>
<value value="134864"/>
<currency value="USD"/>
</valueMoney>
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</measureScore>
</group>
<group id="group-09">
<code>
<coding>
<system
value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
<code value="total-gaps"/>
</coding>
<text value="Total gaps"/>
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<measureScore>
<value value="2"/>
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<group id="group-10">
<code>
<coding>
<system
value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
<code value="closed-gaps"/>
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<text value="Closed gaps"/>
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<measureScore>
<value value="2"/>
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<group id="group-11">
<code>
<coding>
<system
value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
<code value="min-base-incentive-target"/>
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<text value="Minimum Base Incentive Target Percentage"/>
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<measureScore>
<value value="80"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
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</group>
<group id="group-12">
<code>
<coding>
<system
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<code value="base-incentive-pm"/>
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<text value="Base Incentive Per Member"/>
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<measureScore>
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<valueMoney>
<value value="125"/>
<currency value="USD"/>
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<group id="group-13">
<code>
<coding>
<system
value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
<code value="early-performance-bonus-met"/>
</coding>
<text value="Early Performance Bonus Met"/>
</code>
<measureScore>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
<valueBoolean value="false"/>
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<group id="group-14">
<code>
<coding>
<system
value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
<code value="estimated-bonus-incentive-pm"/>
</coding>
<text value="Estimated Bonus Incentive Per Member"/>
</code>
<measureScore>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
<valueMoney>
<value value="0"/>
<currency value="USD"/>
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<group id="group-15">
<code>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
<code value="earned-incentive"/>
<display value="Earned incentive"/>
</coding>
<text value="Estimate Incentive"/>
</code>
<measureScore>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
<valueMoney>
<value value="500"/>
<currency value="USD"/>
</valueMoney>
</extension>
</measureScore>
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<evaluatedResource>🔗
<reference value="MeasureReport/quality-measurereport30"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference value="MeasureReport/quality-measurereport31"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference value="MeasureReport/quality-measurereport32"/>
</evaluatedResource>
<evaluatedResource>🔗
<reference value="MeasureReport/quality-measurereport33"/>
</evaluatedResource>
</MeasureReport>
IG © 2023+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-vbpr#1.0.0 based on FHIR 4.0.1. Generated 2024-05-10
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